LAUREL PINE PEDIATRICS LLC (NPI# 1982986519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982986519 |
| Entity Type | Organization |
| Organization Name | LAUREL PINE PEDIATRICS LLC |
| Practice Address |
14333 Laurel Bowie Rd Suite 206 Laurel MD 20708 |
| Practice Telephone | 3013620506 |
| Practice Fax Number | 3013626711 |
| Mailing Telephone | 3013620506 |
| Mailing Fax Number | 3013626711 |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2011-09-09 |
| Authorized Official Name | DR. WONDU T. WOSSEN (PHYSICIAN) |
| Authorized Official Telephone | 3013620506 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | LAUREL PINE PEDIATRICS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | D41251 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 649741100 | 05 |
| Street Address |
14333 LAUREL BOWIE RD SUITE 206 |
| City | LAUREL |
| State | MD |
| Zip Code | 20708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900929 | Joseph A Herbst | Dentist | 14333 Laurel Bowie Rd, Ste 311, Laurel, MD 20708-1183 | 2005-05-23 |
| 1538682836 | Laurel Endodontics | Dentist | 14333 Laurel Bowie Rd, Ste 300, Laurel, MD 20107 | 2017-07-19 |
| 1487098885 | Carl Justin Oppenheim | Dentist | 14333 Laurel Bowie Rd, Suite 100, Laurel, MD 20708-1126 | 2013-04-29 |
| 1073957536 | Trung Quoc Lam, Dds, PC | Dentist | 14333 Laurel Bowie Rd, Suite 200, Laurel, MD 20708-1126 | 2013-04-26 |
| 1265774087 | Thomas Richard Abecket | Dentist | 14333 Laurel Bowie Rd, Suite 100, Laurel, MD 20708-1126 | 2013-03-19 |
| 1215275425 | Jocelyn Beville Defoe | Dentist | 14333 Laurel Bowie Rd, Ste 201, Laurel, MD 20708-1126 | 2013-01-22 |
| 1306191234 | Palak Parikh | Dentist | 14333 Laurel Bowie Rd, Suite 100, Laurel, MD 20708-1126 | 2012-07-17 |
| 1316236813 | Decker & Lavine, Dds, Pa | Dentist | 14333 Laurel Bowie Rd, Suite 201, Laurel, MD 20708-1126 | 2011-04-05 |
| 1710146840 | Dr Syed Sadiq | Internal Medicine | 14333 Laurel Bowie Rd, Suite 208, Laurel, MD 20708-1126 | 2008-06-04 |
| 1861669236 | Miles of Smiles Dental Associates | Dentist | 14333 Laurel Bowie Rd, Suite # 307, Laurel, MD 20708-1126 | 2008-05-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649880626 | Oak Healthcare Services LLC | Nurse Practitioner | 11601 Duckettown Road, Laurel, MD 20708 | 2020-08-05 |
| 1588287072 | Rebecca Sim | Social Worker | 14112 Bramble Court, Apt 101, Laurel, MD 20708 | 2020-05-19 |
| 1265082978 | Leslie Duncan | Nurse Practitioner | 12908 Golden Oak Dr, Laurel, MD 20708 | 2019-09-14 |
| 1043872310 | Josephine Edet | Driver | 8401 Snowden Loop Ct, Laurel, MD 20708 | 2019-07-07 |
| 1073083655 | Mamta Sampemane | Occupational Therapist | 14409 Greenview Drive Ste 102, Laurel, MD 20708 | 2018-11-27 |
| 1669950275 | Ngendap Tengen Coreen | Home Health Aide | 13009 Mistletoe Spring Rd Apt 516, Laurel, MD 20708 | 2018-08-06 |
| 1447737994 | Chelsey Nicole Garwood | Technician | 9614 Muirkirk Rd, Apt C166, Laurel, MD 20708 | 2018-07-26 |
| 1730665951 | Agnes Aka Nkafu | Home Health Aide | 9017 Contee Rd Apt 302, Laurel, MD 20708 | 2018-07-11 |
| 1568988756 | Olabisi Ntumngia | Home Health Aide | 8903 Ascot Lane, Apt 11, Laurel, MD 20708 | 2017-08-18 |
| 1376083014 | Amiable Home Health Inc. | Home Health | 10120 Bignonia Drive, Laurel, MD 20708 | 2017-02-28 |
| Find all providers in zip 20708 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992276430 | Sujata Qasba, Md | Pediatrics | 3450 Fort Meade Rd Ste 107, Laurel, MD 20724-2040 | 2018-12-10 |
| 1750632477 | Park Place Primary Care LLC | Pediatrics | 601 7th St, Suite 204, Laurel, MD 20707-4003 | 2012-09-20 |
| 1720244890 | Suman Sharma Duvedi | Pediatrics | 11200 Scaggsville Rd Ste 120, Laurel, MD 20723-2024 | 2008-07-29 |
| 1992800379 | Elliot Stephen Gersh | Pediatrics | 13922 Baltimore Ave, 4a Childrens National Medical Center, Laurel, MD 20707 | 2006-09-13 |
| 1871501882 | Jhansi Rani Ganesan | Pediatrics | 8355 Cherry Lane, Laurel, MD 20707 | 2006-08-04 |
| 1326056730 | Hiro T Huang | Pediatrics | 8357 Cherry Ln, Laurel, MD 20707-4829 | 2006-08-03 |
| 1497775324 | Umesh C Mullick | Pediatrics | 7350 Van Dusen Road, # 390, Laurel, MD 20707-5264 | 2006-07-21 |
| 1609816768 | Stacy Denise Scott-mckinney | Pediatrics | 13900 Laurel Lakes Avenue, Suite 240, Laurel, MD 20707-5046 | 2006-06-07 |
| 1003862475 | Nitin Mohan Chopde | Pediatrics | 13976 Baltimore Ave, Laurel, MD 20707 | 2006-05-26 |
| 1649267352 | Gabriel O. Obiadi | Pediatrics | 601 7th St Ste 204, Laurel, MD 20707-4011 | 2005-09-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.